Provider Demographics
NPI:1942418280
Name:GURLAND, KATHRYN S (LCSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:S
Last Name:GURLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 WASHINGTON ST
Mailing Address - Street 2:APT 3M
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1442
Mailing Address - Country:US
Mailing Address - Phone:718-625-2545
Mailing Address - Fax:
Practice Address - Street 1:70 WASHINGTON ST
Practice Address - Street 2:APT 3M
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1442
Practice Address - Country:US
Practice Address - Phone:718-625-2545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070724-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical